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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT CLEVENGER

Active Sole Proprietor

BRENT CLEVENGER is a Private Vehicle healthcare provider located in SNOWFLAKE, Arizona. NPI 1710612155 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · SNOWFLAKE, AZ

Registration Details

NPI Number
1710612155
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2022 (4.0865767451637 yrs)
Last Updated
Jul 20, 2022
License
D01848528 (AZ)
Sole Proprietor
Yes

Practice Information

Address
287 W SPRUCE
SNOWFLAKE, AZ, 859378593
Browse AZ providers · Browse ZIP 85937
Phone
5207040937
Primary Specialty
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.